9 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
peripheral tracking of air ... ileus), intra-abdominal ... variety of other causes ... #pocus #clinical ... #air
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Obscure diagnosis ... air on ultrasound ... , reverb in liver ... #Venous #Gas #Air ... #Clinical #POCUS
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... #Pneumobilia #air ... #liver #pocus # ... ultrasound #clinical ... #hepatic
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... enterocolitis (NEC ... Intrahepatic #Gas #Air ... #Portal #Causes ... #differential #diagnosis
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Both cause intrahepatic ... centrally located air ... result in small air ... #clinical #abdominal ... #ultrasound #Liver
Pneumoperitoneum via Perforated Duodenal Ulcer- Free Air on Abdominal POCUS

Young patient with diffuse abdominal pain...don't let
Duodenal Ulcer- Free Air ... on Abdominal POCUS ... ultimately was diagnosed ... intraperitoneal air ... #Abdominal #POCUS
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Both cause intrahepatic ... centrally located air ... result in small air ... Mnemonic Portal ... #clinical #abdominal
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... Diagnosis? ... portal venous gas ... tends to have air ... #clinical #ultrasound
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... a chest x-ray (CXR ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver